DEREK J MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232149

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

MILLER

Prefix

Business Name

DEREK J MILLER

Original Issue Date

04/03/2015

Effective Date

03/22/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017